| NPI | 1306878053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 34588) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 4297) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2009-07-08 |