| NPI | 1689265654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 02140) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT303843) |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2023-09-29 |