| NPI | 1730546318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 22246) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 13840) |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2019-11-26 |