| NPI | 1811157951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT15574) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 15574) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2009-06-23 |