| NPI | 1922468032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 296348) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 25748) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2024-01-11 |