| NPI | 1881047173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT302203) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0014107) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2023-10-24 |