| NPI | 1033094206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 11787) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 308977) |
| Enumeration Date | 2025-08-07 |
| Last Update Date | 2025-11-24 |