| NPI | 1538600184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 292690) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 4945) |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-03-22 |