| NPI | 1700358900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 294823) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: 294823) |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2018-12-28 |