| NPI | 1124693635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT300682) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2021-09-21 |