| NPI | 1063793479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 3358) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 27825) |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2011-08-31 |