| NPI | 1700230182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 294641) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P14000) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2019-10-10 |