| NPI | 1659095420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT-3789) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT20471) |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2022-09-26 |