| NPI | 1336869809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 302684) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT016234) |
| Enumeration Date | 2022-09-02 |
| Last Update Date | 2023-10-04 |