| NPI | 1285001388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT296762) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1264492) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2019-11-13 |