| NPI | 1629749627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 301007) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 64206) |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2021-09-21 |