| NPI | 1225169287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 8033) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00002227) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2011-02-01 |