| NPI | 1497904056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 0400091931) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 34572) |
| 225100000X Physical Therapist (Licence: PA PT013616L) | |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2022-03-17 |