| NPI | 1245661164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 41238) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60408454) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2022-07-21 |