| NPI | 1629098926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 2787) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT 12520) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2011-10-07 |