| NPI | 1417140187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 6200) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 33879) |
| 225100000X Physical Therapist (Licence: IN 05009613A) | |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2018-06-06 |