| NPI | 1881725158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 28818) |
| Additional Taxonomies | 171W00000X Contractor (Licence: IN 05007890A) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2024-05-21 |