| NPI | 1376557686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 24530) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI PT2574) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2022-10-17 |