| NPI | 1942854435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 300137) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LPT30775) |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2022-05-31 |