| NPI | 1407135965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT41443) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1209481) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2018-06-06 |