| NPI | 1629443254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 295087) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 25768) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2019-12-10 |