| NPI | 1871802298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 37542) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 11552-024) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2016-12-19 |