| NPI | 1124621008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 299269) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 5010) |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2026-03-20 |