| NPI | 1043617533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT295561) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1249122) |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2021-04-08 |