| NPI | 1710433719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 34226) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 7216) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2019-07-29 |