| NPI | 1588369789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 306240) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: AZ LPT-32855) |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2024-07-25 |