| NPI | 1083159685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT297728) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 26284) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2024-09-19 |