| NPI | 1659978427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 302360) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 046163) |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2023-10-23 |