| NPI | 1811379910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 28973) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 21705) |
| 225100000X Physical Therapist (Licence: ID PT-6477) | |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2024-05-01 |