| NPI | 1467181313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 307454) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 30144) |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2025-01-07 |