| NPI | 1114574043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 300178) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 4082) |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2023-02-23 |