| NPI | 1164264792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 307528) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 61561715) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2025-02-10 |