| NPI | 1356907331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT292427) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60981356) |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2020-05-07 |