| NPI | 1710595665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 300256) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID PT-6941) |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2023-08-22 |