| NPI | 1780879288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 1829) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT22860) |
| Enumeration Date | 2007-09-09 |
| Last Update Date | 2008-07-02 |