| NPI | 1699171090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT41600) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: CA PT41600) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT41600) | |
| 174400000X Specialist (Licence: CA 41600) | |
| 2251N0400X Physical Therapist, Neurology (Licence: CA PT41600) | |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2024-01-12 |