| NPI | 1952966988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT300877) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL0016259) |
| 225100000X Physical Therapist (Licence: NJ 40QA01853000) | |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2025-01-28 |