| NPI | 1619577699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT306065) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 040982) |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2025-11-21 |