| NPI | 1578577169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: CA PT27393) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT27393) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2009-04-20 |