| NPI | 1336739879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: 299447) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 299447) |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2021-01-19 |