| NPI | 1649649567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-32613) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 42886) |
| 225100000X Physical Therapist (Licence: CA PT 42886) | |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2024-08-05 |