| NPI | 1114242377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 291820) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 10537-24) |
| 225100000X Physical Therapist (Licence: AZ 8846) | |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2023-08-14 |