| NPI | 1992132120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 40350) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA 006290) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |