| NPI | 1548490162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 36785) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: DC 871014) |
| 225100000X Physical Therapist (Licence: GA PT010423) | |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2022-01-03 |