| NPI | 1407429152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 301779) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: IN 05014361A) | |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2022-04-13 |