| NPI | 1306137419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 37775) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 11667) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2011-05-09 |