| NPI | 1538685706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 302243) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LPT-32462) |
| 225100000X Physical Therapist (Licence: MN 10802) | |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2023-12-11 |