| NPI | 1629388897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 29154) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 36995) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2014-05-16 |