| NPI | 1780274167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: CA BOC159711) |
| Additional Taxonomies | 226300000X Kinesiotherapist |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2021-01-20 |