| NPI | 1245319862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 292199) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT22727) |
| 225100000X Physical Therapist (Licence: TX 1191167) | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-01-16 |