| NPI | 1194917161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT35979) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1147403) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2022-03-22 |