| NPI | 1225513633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 293293) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 62698) |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2020-02-26 |