| NPI | 1851332969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT7021) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 3427) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2021-02-18 |