| NPI | 1659181469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 307551) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 11483) |
| Enumeration Date | 2025-01-13 |
| Last Update Date | 2025-02-11 |