| NPI | 1437405396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 4100) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 20129) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2022-11-17 |