| NPI | 1275930265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 41449) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 14424) |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2014-11-26 |