| NPI | 1306947601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 7357) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 42797) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2022-12-09 |