| NPI | 1386938264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 4363) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 26734) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: CA 26734) | |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2021-03-18 |