| NPI | 1578064788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 293899) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 3668) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-03-20 |