| NPI | 1780328096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 302085) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR PT4984) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: AR PT4984) | |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2022-11-20 |