| NPI | 1679826861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 39511) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05010468A) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2019-09-27 |