| NPI | 1841547015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 15191) |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand (Licence: CA 201211207) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2018-04-30 |