| NPI | 1215586094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT296976) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1407683) |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2026-04-28 |