| NPI | 1386748309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 33494) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI 2446) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2019-11-06 |