| NPI | 1265909741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA 2005629) |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2018-11-01 |