| NPI | 1184925604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 23462) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 38954) |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2023-06-13 |