| NPI | 1568660298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT 25206) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA PT25206) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2023-06-12 |