| NPI | 1366607905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 43088) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 13670) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2015-10-30 |