| NPI | 1457326928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 4069) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT 27375) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2020-08-14 |