| NPI | 1700524790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID 3761378) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 302067) |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2025-03-05 |