| NPI | 1336266162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 37065) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 028888-1) |
| Enumeration Date | 2007-03-25 |
| Last Update Date | 2023-08-14 |