| NPI | 1275696593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 33482) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 1103647) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2023-12-12 |