| NPI | 1023778636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 301734) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 2305214431) |
| Enumeration Date | 2021-12-22 |
| Last Update Date | 2022-04-07 |