| NPI | 1154552487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 24827) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 35182) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2012-01-03 |