| NPI | 1609499870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 300747) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0016953) |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2025-10-14 |