| NPI | 1679638662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 24547) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 1381) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2024-05-02 |