| NPI | 1912021056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 3493) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 32975) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2023-07-12 |