| NPI | 1265705305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 11885-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 36307) |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2012-02-21 |