| NPI | 1174858328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 36057) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 65920) |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2026-02-25 |