| NPI | 1578889317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 40586PT) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05010234A) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2014-12-29 |