| NPI | 1952799439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 41226) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 005995) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2015-01-06 |