| NPI | 1669524070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 33407) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 024381-1) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2015-01-08 |