| NPI | 1265856900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 293703) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 037292) |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2019-10-10 |