| NPI | 1942697594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 294283) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT16258) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2023-03-22 |