| NPI | 1356883730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT298923) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 013780-1) |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2022-01-26 |