| NPI | 1396757456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 65765) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT22026) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2026-01-22 |