| NPI | 1073069829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 292015) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 61953) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-09-12 |