| NPI | 1407315534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 296480) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0014543) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2019-03-18 |