| NPI | 1407096480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-5421) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT26948) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2021-10-28 |