| NPI | 1386776144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 32582) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA 32582) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2019-12-13 |