| NPI | 1265971832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA 025778) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT293689) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2022-07-21 |