| NPI | 1760628168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA P.T. 17270) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: CA P.T. 17270) |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2009-01-06 |