| NPI | 1124595632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 295904) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT34751) |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2021-04-05 |