| NPI | 1205059193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-31628) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 32921) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2024-01-12 |