| NPI | 1164918439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT304093) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT026930) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2023-05-17 |