| NPI | 1225401904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-3453) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT 41770) |
| 225100000X Physical Therapist (Licence: UT 8963796-2401) | |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2020-05-27 |