| NPI | 1508297425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 013586) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 40664) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2022-01-17 |