| NPI | 1649446527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 35649) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT23713) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2012-05-01 |