| NPI | 1407827561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 22809) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT20676) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2022-07-21 |