| NPI | 1902305659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 299201) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT013285) |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2020-12-09 |