| NPI | 1013224997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 3220) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 21428) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2012-08-13 |