| NPI | 1245392547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI Pt-4937) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 0100290) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2025-12-24 |