| NPI | 1992364988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 007165) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 63166) |
| 225100000X Physical Therapist (Licence: CA 294097) | |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2022-09-20 |