| NPI | 1750740387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 295636) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05011766A) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2020-07-07 |