| NPI | 1609023316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 36682) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 1980) |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2018-03-17 |