| NPI | 1841260577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 13204) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 4170) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2020-10-28 |