| NPI | 1639616766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL pt40210) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA pt292168) |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2023-06-18 |