| NPI | 1689380263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 303549) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT38160) |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2024-05-15 |