| NPI | 1679976922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT023740) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 295046) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2023-10-24 |