| NPI | 1467782706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 38653) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 017984-1) |
| 225100000X Physical Therapist (Licence: CT 9272) | |
| Enumeration Date | 2010-01-09 |
| Last Update Date | 2022-05-24 |