| NPI | 1063805901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT42418) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 42418) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2017-05-11 |