| NPI | 1962897835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 42456) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0013123) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2023-02-01 |