| NPI | 1033533682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 295889) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 037039-1) |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2018-11-28 |