| NPI | 1679015192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 13212-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 43128) |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |