| NPI | 1275711632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT26554) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 26554) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2024-05-15 |