| NPI | 1619449865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 301511) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05013205A) |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2023-04-13 |