| NPI | 1548377948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 3610) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT24163) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2024-07-01 |