| NPI | 1659899797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT305329) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS PT6266) |
| 225100000X Physical Therapist (Licence: AL PTH8613) | |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2023-12-20 |