| NPI | 1902256100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT292065) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 61406) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2017-02-27 |