| NPI | 1366794901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT39400) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2020-04-13 |