| NPI | 1265990907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA PT298013) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT027433) |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2022-01-05 |