| NPI | 1053623900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 8931) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 300941) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2021-10-07 |