| NPI | 1851411433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 4386) |
| Additional Taxonomies | 111NX0800X Chiropractor, Orthopedic (Licence: AZ 5911) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2012-01-18 |