| NPI | 1659539823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA pt27830) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA pt013702l) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2008-05-23 |