| NPI | 1689184277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT294495) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT026481) |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2020-02-25 |