| NPI | 1861992893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 108068) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2018003458) |
| 225100000X Physical Therapist (Licence: CA 298451) | |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2021-08-27 |