| NPI | 1871543488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: CA PT 6036) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: CA PT 6036) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2007-07-11 |