| NPI | 1134314065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 6006) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT26190) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2022-07-27 |