| NPI | 1447487970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 36622) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 05556) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2017-03-17 |