| NPI | 1669028460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP-CP029705T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2019029982) |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2024-04-04 |