| NPI | 1679094387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 14940) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT26403) |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2025-01-03 |