| NPI | 1407297054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 22440) |
| Additional Taxonomies | 225800000X Recreation Therapist (Licence: CA 2919-T) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2013-07-11 |