| NPI | 1164898441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SD 0543) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 8044) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2015-08-20 |