| NPI | 1861708372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 11014) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 2279) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2010-08-20 |