| NPI | 1518254408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 36895) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 031430-1) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2022-01-19 |