| NPI | 1891742425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 8699) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OH 33010467) |
| 225700000X Massage Therapist (Licence: AZ MT-13332) | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2013-01-02 |