| NPI | 1427491448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 4819) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 39669) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2021-01-15 |