| NPI | 1588781264 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT29826) | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 049595) | 
| Enumeration Date | 2007-03-26 | 
| Last Update Date | 2025-05-08 |