| NPI | 1104066588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 34682) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070015034) |
| 225100000X Physical Therapist (Licence: OH PT.011972) | |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2009-02-25 |