| NPI | 1093074171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT26206) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 38987) |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2023-11-07 |