| NPI | 1891073094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 41393) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 005815) |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2014-07-25 |