| NPI | 1467802942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 21749) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 3347) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |