| NPI | 1457605719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT41318) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 27875) |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2018-10-29 |