| NPI | 1225406358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 291884) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 10620) |
| 225100000X Physical Therapist (Licence: NV 3276) | |
| 225100000X Physical Therapist (Licence: IN 05011909A) | |
| Enumeration Date | 2015-09-06 |
| Last Update Date | 2017-02-14 |