| NPI | 1437607504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 291859) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA 291859) |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2020-07-26 |