| NPI | 1386940906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT37446) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 030273) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2011-01-28 |