| NPI | 1710324595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 40588) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 23241) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2022-05-20 |