| NPI | 1295087385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT 39275) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV 001714) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2012-10-12 |