| NPI | 1174139448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 32619) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT298716) |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2023-01-24 |