| NPI | 1497369243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 300110) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 12953) |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2021-07-01 |