| NPI | 1225518301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT295947) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID PT-5860) |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2021-12-06 |