| NPI | 1750989885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 6350) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 298984) |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2024-01-29 |