| NPI | 1447894761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 300432) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 44780) |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2021-12-21 |