| NPI | 1811414220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 296675) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA 48724) |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2019-07-15 |