| NPI | 1225182108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: DC PT870788) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT29803) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2008-10-16 |