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 |