| NPI | 1154028223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT305324) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 64793) |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2025-11-19 |