| NPI | 1629366745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 37999) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 9757) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2016-05-23 |