| NPI | 1205624053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 66279) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 307711) |
| Enumeration Date | 2025-04-30 |
| Last Update Date | 2026-10-16 |