| NPI | 1255899167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT-4781) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 295532) |
| Enumeration Date | 2019-03-10 |
| Last Update Date | 2019-03-25 |