| NPI | 1356492193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LPT-30580) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 33333) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2019-04-01 |