| NPI | 1508282450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 33334) |
| Additional Taxonomies | 2251E1200X Physical Therapist Ergonomics |
| 2251N0400X Physical Therapist Neurology | |
| 2251P0200X Physical Therapist Pediatrics | |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2014-03-14 |