| NPI | 1811313687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 297398) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 037-424) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2024-12-05 |