| NPI | 1134630031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 38057) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: 952996077) |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2022-04-14 |