| NPI | 1285979997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 10178) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 16194) |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2012-12-06 |