| NPI | 1245346360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 21354) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 30062) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2019-02-27 |