| NPI | 1750029906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT301402) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2023-12-21 |