| NPI | 1467063602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT305009) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305215455) |
| 225100000X Physical Therapist (Licence: FL 36112) | |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2023-11-13 |