| NPI | 1992971568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 11486) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 386) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2015-06-26 |