| NPI | 1356611685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 40582) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 032427) |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2023-07-18 |