| NPI | 1770249674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 303379) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: VA CP008395T) | |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2022-12-15 |