| NPI | 1528360575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 37166) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM PT4991) |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2025-03-13 |