| NPI | 1700576865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 304040) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 27531) |
| Enumeration Date | 2023-05-11 |
| Last Update Date | 2024-09-23 |