| NPI | 1679438709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 309503) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI 6325) |
| Enumeration Date | 2025-12-20 |
| Last Update Date | 2025-12-20 |