| NPI | 1750773701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 42262) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 027780) |
| Enumeration Date | 2015-02-28 |
| Last Update Date | 2015-11-25 |