| NPI | 1972606267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 22127) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 22372) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2022-12-30 |