| NPI | 1679922785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 42209) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 25066) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2021-10-14 |