| NPI | 1669856746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 292261) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 21745) |
| 2251G0304X Physical Therapist Geriatrics (Licence: CA 292261) | |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2019-08-08 |