| NPI | 1922449255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT41213) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 2617) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2014-04-07 |