| NPI | 1821871070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP-CP024564T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 121371) |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2023-10-10 |