| NPI | 1851484604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 4868) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 1680) |
| 225100000X Physical Therapist (Licence: CA 9081) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |