| NPI | 1194149997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT292565) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 20983) |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2022-12-09 |