| NPI | 1275310708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC MP990013) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 304727) |
| Enumeration Date | 2023-09-08 |
| Last Update Date | 2024-04-22 |