| NPI | 1891928768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 10821) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 6023) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2020-09-11 |