| NPI | 1548413693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL FL10189) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT25294) |
| Enumeration Date | 2008-11-01 |
| Last Update Date | 2019-01-17 |