| NPI | 1417402934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC MP13) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT303317) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2025-08-25 |