| NPI | 1255672762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT187080) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 18780) |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2013-07-31 |