| NPI | 1154585685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT019406) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT297794) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2021-11-13 |