| NPI | 1699843037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 34187) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 021434) |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2022-06-08 |