| NPI | 1275075285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 11191) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 293176) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2019-11-25 |