| NPI | 1124247176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT23380) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA PT 23380) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2016-09-20 |