| NPI | 1477764736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 298312) |
| Additional Taxonomies | 171W00000X Contractor (Licence: NV 1584) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2025-07-28 |