| NPI | 1568958361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 303506) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 3738) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2023-11-27 |