| NPI | 1265774376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 26628) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT 17866) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2021-10-12 |