| NPI | 1568537033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 6628) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 28866) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2023-04-27 |