| NPI | 1982936704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT38779) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 25260) |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2014-08-11 |