| NPI | 1477650562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 38706) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 22607) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2025-07-23 |