| NPI | 1417249871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 9139) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 16406) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2011-05-04 |