| NPI | 1952941189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT42657) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: CA PT42657) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT42657) | |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-01-15 |