| NPI | 1194113183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 40720) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60091106) |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2014-12-29 |