| NPI | 1427603828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305215426) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 296944) |
| Enumeration Date | 2019-08-03 |
| Last Update Date | 2023-02-24 |