| NPI | 1467830505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 33777) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT33777) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2024-03-14 |