| NPI | 1730497769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 34921) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 33-0209580) |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2010-09-24 |