| NPI | 1306372214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 292164) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 3415) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2018-03-17 |