| NPI | 1700032091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 34726) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 21919) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-18 |