| NPI | 1508096751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT37367) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 22930) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2016-12-21 |