| NPI | 1528250578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 43152) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK PT3997) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2020-07-16 |