| NPI | 1225526130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 41970) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 3978) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-04-25 |