| NPI | 1316305543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 300624) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 60611222) |
| 225100000X Physical Therapist (Licence: TX 1227397) | |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2025-05-16 |