| NPI | 1982681276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 7110) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 28758) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2010-03-19 |