| NPI | 1356096911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH11759) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 301718) |
| Enumeration Date | 2022-02-12 |
| Last Update Date | 2024-05-10 |