| NPI | 1932182243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 3285392401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT24599) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2020-06-01 |