| NPI | 1003127176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT37557) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05010061A) |
| 225100000X Physical Therapist (Licence: MI 5501014729) | |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2022-02-11 |