| NPI | 1689251647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P22122) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 291320) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2024-02-02 |