| NPI | 1114986544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 20403) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT16837) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2018-07-03 |