| NPI | 1326563446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 292964) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 039594) |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2017-10-12 |