| NPI | 1487235123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 300967) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 36647) |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2023-01-29 |