| NPI | 1336970938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 28056) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05007068A) |
| 225100000X Physical Therapist (Licence: IL 070012807) | |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2024-08-13 |