| NPI | 1174126528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 300481) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 27963) |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2024-02-17 |