| NPI | 1831736131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2003022704) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 297780) |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2019-12-05 |