| NPI | 1023649894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P8158) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT22633) |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2022-08-10 |