| NPI | 1174809057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 301951) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 033803) |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2023-04-11 |