| NPI | 1912214636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 23375) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 294690) |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2019-03-27 |