| NPI | 1609185727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 11859) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 37148) |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2021-07-22 |