| NPI | 1023785490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT305260) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0014408) |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2023-11-29 |