| NPI | 1053160721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23098) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 291734) |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-05-15 |