| NPI | 1568832426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT294253) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 11042) |
| Enumeration Date | 2015-10-03 |
| Last Update Date | 2021-05-28 |