| NPI | 1730835760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT40849) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 301719) |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2024-06-25 |