| NPI | 1275920167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 42490) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 036012-1) |
| Enumeration Date | 2015-04-19 |
| Last Update Date | 2015-12-30 |