| NPI | 1861568149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0013022) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT-26597) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2018-05-18 |