| NPI | 1831562214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 41008) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 035183) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2018-10-11 |