| NPI | 1558953075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT298742) |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: CA PT298742) |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2021-02-10 |