| NPI | 1467439869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT7332) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
| 2251P0200X Physical Therapist, Pediatrics | |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2008-01-24 |