| NPI | 1235542762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 38946) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 60563) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-06-02 |