| NPI | 1710958038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 1930) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT24636) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2013-05-21 |