| NPI | 1376968271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 40475) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 07530F) |
| Enumeration Date | 2014-02-28 |
| Last Update Date | 2016-04-26 |