| NPI | 1952855975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 296627) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT871838) |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2021-08-16 |