| NPI | 1477058667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305211850) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 293304) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2018-06-01 |