| NPI | 1932577707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 27418) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT872447) |
| 225100000X Physical Therapist (Licence: CA 43041) | |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2019-06-20 |