| NPI | 1821339318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 10687) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 8490344-2401) |
| 225100000X Physical Therapist (Licence: CA 42469) | |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2016-01-27 |