| NPI | 1083634588 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: CA PT 9593)  | 
| Additional Taxonomies | 2251E1300X Physical Therapist, Electrophysiology, Clinical (Licence: CA EK 24)  | 
| Enumeration Date | 2006-07-20 | 
| Last Update Date | 2016-01-11 |