| NPI | 1740769785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT302346) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT028502) |
| 225100000X Physical Therapist (Licence: WI 14152-24) | |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2022-08-29 |