| NPI | 1447235726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT 43438) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC PT15484) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2021-12-30 |