| NPI | 1346662400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 300759) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 29921) |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2021-10-19 |