| NPI | 1740496983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ CP001153T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 7233) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-06-18 |