| NPI | 1194117820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT41583) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 41583) |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2019-06-19 |