| NPI | 1760044911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 302001) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501019131) |
| 225100000X Physical Therapist (Licence: NC P20527) | |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2024-02-28 |