| NPI | 1134684822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 186489) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 296215) |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2022-05-18 |