| NPI | 1851495121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 7877) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT27910) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2017-05-10 |