| NPI | 1376420349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 308390) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 28211) |
| Enumeration Date | 2025-08-20 |
| Last Update Date | 2025-08-20 |