| NPI | 1225660764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 302379) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 63580) |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2022-12-02 |