| NPI | 1629237631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 26827) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 22805) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2008-06-04 |