| NPI | 1720850027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-033316) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 300706) |
| 2251N0400X Physical Therapist, Neurology (Licence: CA NE231835) | |
| 225500000X Specialist/Technologist (Licence: CA 96283) | |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2023-11-30 |