| NPI | 1942052436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23462) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 305869) |
| Enumeration Date | 2024-04-05 |
| Last Update Date | 2024-09-18 |