| NPI | 1942221684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 25359) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA PT25359) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2016-02-05 |