| NPI | 1952540130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 8480) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 40281) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2014-08-26 |