| NPI | 1891970216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-01025) |
| Additional Taxonomies | 174400000X Specialist (Licence: NV 2162) |
| 225100000X Physical Therapist (Licence: CA 35726) | |
| 225100000X Physical Therapist (Licence: OH 013642) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: AZ 10205) | |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2022-07-26 |