| NPI | 1689232050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT298381) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 044148) |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2020-05-21 |