| NPI | 1366798068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 60487) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 39246) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2024-05-24 |