| NPI | 1811618432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT5208) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 305484) |
| 225100000X Physical Therapist (Licence: CO CP051901T) | |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2026-01-07 |