| NPI | 1760963722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P20811) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT295284) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2022-01-28 |