| NPI | 1942773551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 9464) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 303464) |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2023-01-03 |