| NPI | 1437695400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 296109) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 62127) |
| 225100000X Physical Therapist (Licence: MD 26325) | |
| 225100000X Physical Therapist (Licence: FL PT32271) | |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2020-03-31 |