| NPI | 1902284912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT297188) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA 10766) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2023-01-04 |