| NPI | 1376836494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT37762) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 15868) |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2011-05-23 |