| NPI | 1609965037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT37322) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT30087) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2024-09-06 |