| NPI | 1104144674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 36557) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 031019) |
| Enumeration Date | 2010-05-09 |
| Last Update Date | 2023-11-27 |