| NPI | 1841516473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 2556) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID 1999) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2010-04-07 |