| NPI | 1235560863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 2345) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 14912) |
| 225100000X Physical Therapist (Licence: WA 00005627) | |
| Enumeration Date | 2013-12-08 |
| Last Update Date | 2015-12-28 |