| NPI | 1184165201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 294692) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT012768) |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2024-01-30 |