| NPI | 1912615618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 4847) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 297210) |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2022-11-10 |