| NPI | 1841498938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 38072) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305205056) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2014-10-21 |