| NPI | 1790018455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 36221) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 18770) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2022-01-03 |