| NPI | 1538222567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0013651) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: IL 070-012544) |
| 225100000X Physical Therapist (Licence: CA 40054) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2016-03-24 |