| NPI | 1124178686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT294593) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05004055A) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2018-05-24 |