| NPI | 1215453501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT300229) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01745800) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2022-12-06 |