| NPI | 1831587153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2025012501) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 42079) |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2025-07-31 |