| NPI | 1801526868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 305376) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LPT-32384) |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2024-03-18 |