| NPI | 1376892414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 39249) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 035939) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2016-07-18 |