| NPI | 1467850651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 63356) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 41278) |
| Enumeration Date | 2014-12-20 |
| Last Update Date | 2024-02-20 |