| NPI | 1902120959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 39755) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1193680) |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2013-08-16 |