| NPI | 1275719197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 32952) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 0007570) |
| 225100000X Physical Therapist (Licence: NY 027886) | |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2018-08-27 |