| NPI | 1366866212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 40934) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 9658767-2401) |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2016-06-08 |