| NPI | 1730761149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 300100) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 24763) |
| Enumeration Date | 2021-04-25 |
| Last Update Date | 2021-04-25 |