| NPI | 1720729742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 29668) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 303735) |
| 225100000X Physical Therapist (Licence: MD CP011339T) | |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2025-05-08 |