| NPI | 1568841229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT43539) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT011753) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2019-05-13 |