| NPI | 1659659563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT38068) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 6478) |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2011-07-26 |