| NPI | 1447918545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT-5423-0) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 301231) |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2024-05-07 |