| NPI | 1780967422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 296451) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1210567) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2025-02-04 |