| NPI | 1134474877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT 35986) |
| Additional Taxonomies | 2251C2600X Physical Therapist Cardiopulmonary |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-11-14 |