| NPI | 1962523605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 13231) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 0891) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2018-03-17 |