| NPI | 1689039349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT291392) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 3190) |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2018-07-13 |