| NPI | 1003101361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 300947) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 26449) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2022-08-25 |