| NPI | 1871886135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 291251) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 62-033419) |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2023-03-15 |