| NPI | 1902227192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 40679) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 28593) |
| Enumeration Date | 2013-12-15 |
| Last Update Date | 2014-08-25 |