| NPI | 1114237708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT 36538) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 23069) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2010-10-15 |