| NPI | 1891209706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0017979) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT293973) |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2024-11-13 |