| NPI | 1073753844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT35302) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 35302) |
| 225100000X Physical Therapist (Licence: MI 5501013577) | |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2016-08-31 |