| NPI | 1013196054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 35498) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 9605) |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2016-06-20 |