| NPI | 1477667582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 35516) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 8665) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2018-03-17 |