| NPI | 1164898326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 42045) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 031117-1) |
| 225100000X Physical Therapist (Licence: CT 009213) | |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2015-08-11 |