| NPI | 1770726283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 5437) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 7197) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2009-04-14 |