| NPI | 1457388761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 34882) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 025677) |
| 225100000X Physical Therapist (Licence: MA 16649) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2011-12-07 |