| NPI | 1306000864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 7927) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 20501) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2008-07-14 |