| NPI | 1831210962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 2460) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CO 2460) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |