| NPI | 1629593926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P19149) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 293385) |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2019-09-12 |