| NPI | 1053698225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 37656) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 8436) |
| 225100000X Physical Therapist (Licence: VA 2305205772) | |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2011-11-15 |