| NPI | 1295167583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 40278) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID PT-3174) |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2013-08-08 |