| NPI | 1457944498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 300109) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 14.012971) |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2021-12-20 |