| NPI | 1326685793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 294592) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305209707) |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-04 |