| NPI | 1083031645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 13177) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 41114) |
| 225100000X Physical Therapist (Licence: CA PT41114) | |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2021-03-05 |