| NPI | 1841825247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 15591-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 297894) |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2021-11-03 |