| NPI | 1811601347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT308160) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 1753) |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2025-10-07 |