| NPI | 1912926221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT13970) |
| Additional Taxonomies | 2251S0007X Physical Therapist Sports (Licence: CA PT13970) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |