| NPI | 1720856834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 308323) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT41089) |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2025-08-28 |