| NPI | 1023456829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 40030) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 26567) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2018-12-19 |