| NPI | 1427603109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT300510) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LPT-30721) |
| 225100000X Physical Therapist (Licence: UT 11341537-2401) | |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2024-10-11 |