| NPI | 1841804978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT303285) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 36129) |
| Enumeration Date | 2020-09-05 |
| Last Update Date | 2023-05-03 |