| NPI | 1932762226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 296495) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 4217) |
| 225100000X Physical Therapist (Licence: NH 2415) | |
| 225100000X Physical Therapist (Licence: AZ 012655) | |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2019-04-22 |