| NPI | 1790997229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 26544) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 3562) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2018-03-23 |