| NPI | 1194477729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 14161) |
| Additional Taxonomies | 171W00000X Contractor (Licence: CA 14161) |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-03-01 |