| NPI | 1083213060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 4523) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 299010) |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2021-07-12 |