| NPI | 1124244769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 37253) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 19488) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2016-05-19 |