| NPI | 1700330602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 10731) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 291743) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2022-07-26 |