| NPI | 1053700484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 3720) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 25846) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2023-04-24 |