| NPI | 1316061724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P11616) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 27278) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2023-10-17 |