| NPI | 1750909586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT305322) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0017055) |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2023-12-21 |