| NPI | 1972556355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3006) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT37925) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2012-03-12 |