| NPI | 1497398788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT297356) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT027888) |
| Enumeration Date | 2019-10-20 |
| Last Update Date | 2019-10-20 |