| NPI | 1902492267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT296957) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 296957) |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2023-06-02 |