| NPI | 1306217625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 292857) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2014013531) |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2023-06-08 |