| NPI | 1316222763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P14183) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 34246) |
| 225100000X Physical Therapist (Licence: SC PT7681) | |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2015-11-24 |