| NPI | 1942794094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 291751) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 743578) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-06-21 |