| NPI | 1285915280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT29878) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: CA PT29878) |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2023-11-27 |