| NPI | 1275741183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 5406) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 29209) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2010-02-19 |