| NPI | 1407802614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT36898) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 5073) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2013-03-11 |