| NPI | 1295111276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 292219) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 010388) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2019-03-04 |