| NPI | 1699023036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT291278) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 4180) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2016-04-11 |