| NPI | 1831880186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0020007) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 304055) |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2024-08-15 |