| NPI | 1558590570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 37591) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60092400) |
| Enumeration Date | 2009-07-12 |
| Last Update Date | 2012-02-03 |