| NPI | 1184119687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 296180) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60848470) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2020-10-08 |