| NPI | 1922650951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 10642) |
| Additional Taxonomies | 251E00000X Home Health (Licence: CA 10642) |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2019-07-10 |