| NPI | 1093063166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 292948) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2012027743) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2019-03-05 |