| NPI | 1417935792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 928) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT20087) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2008-02-13 |