| NPI | 1295379253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 297509) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL0016186) |
| Enumeration Date | 2019-11-03 |
| Last Update Date | 2019-11-03 |