| NPI | 1821579277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 298143) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1221867) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2021-11-02 |