| NPI | 1265263636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 306613) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0020225) |
| Enumeration Date | 2024-08-08 |
| Last Update Date | 2025-10-08 |