| NPI | 1790905024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 32251) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 1972) |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2018-03-17 |