| NPI | 1780924704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT39927) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 39927) |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2021-12-21 |