| NPI | 1649970286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 65269) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 303768) |
| Enumeration Date | 2023-03-02 |
| Last Update Date | 2024-04-16 |