| NPI | 1669546958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 7115) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 32324) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2016-11-17 |