| NPI | 1003047689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT35852) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 35852) |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2014-05-09 |