| NPI | 1063564854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA 14819) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT28737) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2022-02-09 |