| NPI | 1184912131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 43596) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 9136) |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2016-10-03 |