| NPI | 1437585122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 41822) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 036890-1) |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2019-08-21 |