| NPI | 1386639953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 339) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 15936) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2007-07-09 |