| NPI | 1548574262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 6655) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 36125) |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2018-05-23 |