| NPI | 1003940495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT291416) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT020094) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2016-08-12 |