| NPI | 1134775869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 4291) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 297003) |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2024-08-25 |