| NPI | 1023332491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT43605) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT24947) |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2024-09-04 |