| NPI | 1174864524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 302720) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05011882A) |
| 225100000X Physical Therapist (Licence: CA PT40005) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: CA 302720) | |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2022-12-06 |