| NPI | 1619119500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT4302) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 35555) |
| 225100000X Physical Therapist (Licence: CA PT 35555) | |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2022-07-21 |