| NPI | 1346464054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 36289) |
| Additional Taxonomies | 171W00000X Contractor (Licence: VA 2305005871) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2010-01-20 |