| NPI | 1770718090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 2901) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 35673) |
| Enumeration Date | 2009-05-17 |
| Last Update Date | 2021-09-16 |