| NPI | 1295053213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 2155) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 35935) |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2011-02-09 |