| NPI | 1902533607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 303967) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: AZ 32450) |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2023-05-04 |