| NPI | 1841219714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT 16380) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID PT 991) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2013-08-12 |