| NPI | 1578224408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 301826) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305214806) |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2022-03-03 |