| NPI | 1467986869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 292912) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 010609) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-12 |