| NPI | 1669481842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 23431) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT 27020) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2013-04-01 |