| NPI | 1437398302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 3673) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 34122) |
| Enumeration Date | 2009-02-16 |
| Last Update Date | 2014-08-25 |