| NPI | 1528675154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P21337) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT299032) |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2022-08-10 |