| NPI | 1437606076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 301988) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 26056) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2023-11-07 |