| NPI | 1720685290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT41806) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM PT5303) |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2023-07-26 |