| NPI | 1417994773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 6687) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 66871) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2020-09-01 |