| NPI | 1346538816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 291098) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 62034032) |
| 225100000X Physical Therapist (Licence: FL 28413) | |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2017-03-22 |