| NPI | 1619213782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 39773) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 013992) |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2014-10-17 |