| NPI | 1689821878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 36938) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 0305531) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2013-04-25 |