| NPI | 1881433480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 307068) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 2671) |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2025-02-05 |