| NPI | 1699000455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT36087) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 36087) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2019-11-05 |