| NPI | 1346451416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 6687) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 32072) |
| 225100000X Physical Therapist (Licence: NC 13640) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2012-08-14 |