| NPI | 1134459530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 40183) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 18821) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2016-03-25 |