| NPI | 1174148829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 305007) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 11906) |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2023-12-05 |