| NPI | 1205951340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 15080) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 38474) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2025-03-03 |