| NPI | 1770806770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT 37377) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT7776) |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2021-12-03 |