| NPI | 1952618829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT293917) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA AT9286) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2018-03-17 |