| NPI | 1821511502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT293179) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 039748) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2023-10-31 |