| NPI | 1780605519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 2303) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT28651) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2023-07-26 |