| NPI | 1205055431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 39512) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 029216) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2018-07-12 |