| NPI | 1255367785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT6659) |
| Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics (Licence: CA PT6659) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2018-09-26 |