| NPI | 1982821229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 26866) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: CA 26866) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2014-05-02 |