| NPI | 1407526692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 64269) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 300643) |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2021-09-17 |