| NPI | 1679138846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 16666-24) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: CA 299651) | |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2024-06-03 |