| NPI | 1184098683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 294340) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 0391651) |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2023-07-17 |