| NPI | 1750163788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 303609) |
| 225100000X Physical Therapist (Licence: WA 61449149) | |
| 225100000X Physical Therapist (Licence: MA 26274) | |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2023-12-10 |