| NPI | 1154840387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI HI1050) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 263990) |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2024-05-05 |