| NPI | 1689423147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 304279) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 65237) |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2024-05-16 |