| NPI | 1245633254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 64222) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 41605) |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2023-01-02 |