| NPI | 1487021747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 15251) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 42909) |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2021-08-19 |