| NPI | 1073186813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 301324) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2021-12-10 |