| NPI | 1396961140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 25961) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00002692) |
| 225100000X Physical Therapist (Licence: OR 4732) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2017-03-07 |