| NPI | 1144491978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: CA 34120) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 34120) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2018-10-31 |