| NPI | 1770835324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 301289) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR 3234) |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2024-04-03 |