| NPI | 1467683912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 64014) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 35822) |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2022-08-05 |