| NPI | 1235447707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT 37030) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV PT 002797) |
| Enumeration Date | 2010-09-18 |
| Last Update Date | 2010-09-18 |