| NPI | 1780816694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 293206) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 6017) |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2019-03-28 |