| NPI | 1174291298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 305671) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 013750) |
| 225100000X Physical Therapist (Licence: NY 044680) | |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2024-10-17 |