| NPI | 1457758765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT 42078) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT023272) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2015-01-08 |