| NPI | 1215567060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 293416) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 63341) |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2020-01-21 |