| NPI | 1215682703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 303000) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305214866) |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2025-12-01 |