| NPI | 1285199620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 296308) |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2022-04-06 |