| NPI | 1619510682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT295293) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 28107) |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2019-10-23 |