| NPI | 1770899965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 5196) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 7592) |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2018-01-16 |