| NPI | 1528487493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 3891) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 41095) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2022-01-11 |