| NPI | 1487876363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 2510) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 18059) |
| 225100000X Physical Therapist (Licence: CO 0010638) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2013-06-24 |