| NPI | 1972059277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 294180) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 4297) |
| 225100000X Physical Therapist (Licence: AZ 12336) | |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2021-09-16 |