| NPI | 1780909069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 36807) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 19010) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2011-01-21 |