| NPI | 1275782047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 39525) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 017883-1) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2014-08-06 |