| NPI | 1972613040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 2916) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT 10936) |
| 225100000X Physical Therapist (Licence: HI PT - 893) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |