| NPI | 1326599531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT291282) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID PT-4361) |
| Enumeration Date | 2016-10-23 |
| Last Update Date | 2023-01-05 |