| NPI | 1003418765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID 7973) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 299461) |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2022-11-29 |