| NPI | 1477862175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT298314) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT20815) |
| 225100000X Physical Therapist (Licence: NY 038793-1) | |
| 225100000X Physical Therapist (Licence: CT 11870) | |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2020-11-09 |