| NPI | 1871704320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 6207) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: AZ 6207) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2024-10-17 |