| NPI | 1629058722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT14468) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI PT1074) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2009-03-25 |