| NPI | 1093362444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 302328) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 30842) |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2023-07-13 |