| NPI | 1346591005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 62401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 38975) |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2021-01-15 |