| NPI | 1861769374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 38077) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 6741) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2015-04-08 |