| NPI | 1841813904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT012642) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT296026) |
| Enumeration Date | 2020-05-24 |
| Last Update Date | 2020-05-24 |