| NPI | 1033486824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 41452) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE 0002723) |
| 225100000X Physical Therapist (Licence: MD 23703) | |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2014-08-20 |