| NPI | 1427048255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 33950) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00007284) |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2018-03-17 |