| NPI | 1568113413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 13408) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 301413) |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-01-21 |