| NPI | 1891197679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 301979) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1246667) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2022-08-11 |