| NPI | 1245638964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 41689) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT14689) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2018-12-07 |