| NPI | 1841368743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: CA 33207) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: CA 33207) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2024-01-23 |