| NPI | 1366765463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305206599) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 36518) |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2024-05-22 |