| NPI | 1063548543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251E1300X Physical Therapist, Electrophysiology, Clinical (Licence: CA 21) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: CA 13000) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-07-08 |