| NPI | 1356017172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT304899) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT015519) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: CA PT304899) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: GA PT015519) | |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2023-12-13 |