| NPI | 1790941201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT34618) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT 34618) |
| 2251X0800X Physical Therapist Orthopedic (Licence: CA PT 34618) | |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2022-05-17 |