| NPI | 1871754697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 6130) |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand (Licence: AZ 6130) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: AZ 6130) | |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2015-11-02 |