| NPI | 1083989776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 38782) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 3167) |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2016-03-02 |