| NPI | 1932471737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: AZ 10215) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 38629) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2015-10-02 |