| NPI | 1386043131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 11045) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 42257) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2015-02-19 |