| NPI | 1891989513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 301156) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 18034) |
| 225100000X Physical Therapist (Licence: GA PT011507) | |
| 225100000X Physical Therapist (Licence: OR 6197) | |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2022-12-27 |