| NPI | 1871232694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT016521) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 302176) |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2023-09-13 |