| NPI | 1114463247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 292608) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 22475) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |