| NPI | 1730438656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 9770) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT26127) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2012-09-06 |