| NPI | 1386180842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 43119) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305208133) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |