| NPI | 1477682250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 06997) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 21145) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2012-12-20 |