| NPI | 1841712411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 294194) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 011486) |
| 225100000X Physical Therapist (Licence: WA 60936501) | |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2022-07-21 |