| NPI | 1144594318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 40865) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60266150) |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2021-11-29 |