| NPI | 1033453782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 39520) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 034418) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-11-19 |