| NPI | 1003142837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT 37305) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 030940-1) |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2011-05-12 |