| NPI | 1386940955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 41133) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 033338-1) |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2015-06-05 |