| NPI | 1730632530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 5015) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 291206) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2023-07-17 |