| NPI | 1841391885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 42179) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CO 7940) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2015-02-19 |