| NPI | 1306198486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 11322) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 21790) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2019-08-23 |