| NPI | 1851491997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 33316) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 1610) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-08 |