| NPI | 1326556341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 293135) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA pt011467) |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2018-01-11 |