| NPI | 1225249246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT 33814) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT23348) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2019-02-14 |