| NPI | 1124120282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P21592) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 29856) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2022-12-22 |