| NPI | 1619058237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: CA G060095) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: NV 9361) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2013-07-22 |