| NPI | 1366584682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT 10048) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 10368) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-07-08 |