| NPI | 1972836054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: CA PT29070) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251N0400X Physical Therapist, Neurology (Licence: CA PT29070) | |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2016-09-20 |