| NPI | 1356814875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT305693) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2003026212) |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2024-05-22 |