| NPI | 1003460783 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: CA PT20892)  | 
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology | 
| Enumeration Date | 2019-07-30 | 
| Last Update Date | 2020-01-06 |