| NPI | 1184348211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT305757) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 049317) |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2024-03-13 |