| NPI | 1255964334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT298254) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2022-09-20 |