| NPI | 1063698678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 9261) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT26261) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2023-06-21 |