| NPI | 1932366689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 28021) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 34419) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2016-03-30 |