| NPI | 1457870685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT293700) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 293700) |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2022-01-18 |