| NPI | 1295946432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 3238) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 30215) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2018-04-16 |