| NPI | 1760875157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 296396) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 21615) |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2019-04-22 |