| NPI | 1609081199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT 6296) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 010712) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2024-05-20 |