| NPI | 1730814625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251H1300X Physical Therapist, Human Factors (Licence: MD 19888) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 19888) |
| 225100000X Physical Therapist (Licence: CA 302205) | |
| Enumeration Date | 2022-07-24 |
| Last Update Date | 2022-07-24 |