| NPI | 1477959674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 42594) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 21459) |
| Enumeration Date | 2014-11-15 |
| Last Update Date | 2023-02-02 |