| NPI | 1104056837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 35797) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 2966) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2011-07-12 |