| NPI | 1073192415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT301568) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 12198260-2401) |
| 225100000X Physical Therapist (Licence: GA CP004680T) | |
| 225100000X Physical Therapist (Licence: MO CP006387T) | |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2026-01-30 |