| NPI | 1841662343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT43186) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT30631) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2015-10-22 |