| NPI | 1124273156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 6237) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 35095) |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2020-02-14 |