| NPI | 1801688759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT37972) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 301287) |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2025-05-19 |