| NPI | 1790333870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 297065) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0015378) |
| Enumeration Date | 2019-08-31 |
| Last Update Date | 2019-08-31 |