| NPI | 1922797018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 65580) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 304020) |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2025-01-10 |