| NPI | 1982957254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 38182) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 028068-1) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2012-10-23 |