| NPI | 1912323502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT20623) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 40948) |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2020-04-06 |