| NPI | 1952610412 |
|---|---|
| Former Name | JENNIFER L MONROE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 9105PT) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AZ MT-11128) |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2014-11-06 |