| NPI | 1376708107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 6868) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 34745) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2013-02-28 |