| NPI | 1215396668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT294702) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 60645868) |
| Enumeration Date | 2016-02-14 |
| Last Update Date | 2018-05-08 |