| NPI | 1225218720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 294256) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 006516) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2018-10-24 |