| NPI | 1801905831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 30906) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 348046-2401) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-07-02 |