| NPI | 1194867325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 00009385) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 32043) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2009-08-24 |