| NPI | 1780768465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 29367) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT29367) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2022-02-17 |