| NPI | 1124487889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA AT 10914) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 294983) |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2026-05-14 |