| NPI | 1245985316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 64681) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT301703) |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2022-10-17 |