| NPI | 1629797006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT305877) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT03546) |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2024-05-21 |