| NPI | 1760859268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 42287) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MT PTP-PT-LIC-7585) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2018-05-10 |