| NPI | 1255548343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT22150) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI PT 2532) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2018-07-06 |