| NPI | 1689991465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT 35534) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA OT 10551) |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2020-05-10 |