| NPI | 1932396991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 2284PT) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 33974) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2010-09-16 |