| NPI | 1295743581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT28855) |
| Additional Taxonomies | 2251E1200X Physical Therapist Ergonomics (Licence: CA PT28855) |
| 2251X0800X Physical Therapist Orthopedic (Licence: CA PT28855) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2016-03-15 |