| NPI | 1891037958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 40039) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 1895) |
| 225100000X Physical Therapist (Licence: PA PT012624L) | |
| 225100000X Physical Therapist (Licence: VT 040.0133979) | |
| 225100000X Physical Therapist (Licence: NH 4341) | |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2019-08-06 |