| NPI | 1174546774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 27962) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 8206) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2026-05-05 |