| NPI | 1003902735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT17060) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: CA PT17060) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: CA PT 17060) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT17060) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-09-19 |