| NPI | 1821045436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 35676) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 1103532) |
| 225100000X Physical Therapist (Licence: VA 2305205450) | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2023-07-21 |