| NPI | 1720379860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 8188) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0002677) |
| Enumeration Date | 2011-04-24 |
| Last Update Date | 2012-11-18 |