| NPI | 1114230885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 293720) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 10873) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2022-03-14 |