| NPI | 1205106721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT41763) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 133316) |
| 225100000X Physical Therapist (Licence: MA 19427) | |
| Enumeration Date | 2012-01-02 |
| Last Update Date | 2018-04-12 |