| NPI | 1386410173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 40372) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 301634) |
| Enumeration Date | 2023-12-01 |
| Last Update Date | 2023-12-01 |